首页|手术室整体干预模式对肝癌介入手术患者负性情绪、并发症、生活质量及护理满意度的影响

手术室整体干预模式对肝癌介入手术患者负性情绪、并发症、生活质量及护理满意度的影响

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目的 探讨手术室整体干预模式对肝癌介入手术患者的负性情绪、并发症发生情况、生活质量及护理满意度的影响.方法 依据干预模式的不同将120例接受介入手术的肝癌患者分为对照组(n=56)和观察组(n=64).对照组患者围手术期给予手术室常规干预模式,观察组患者围手术期给予手术室整体干预模式.比较两组患者的负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、并发症发生情况及护理满意度[纽卡斯尔护理满意度量表(NSNS)].结果 术后,两组患者的SAS、SDS评分均明显低于本组术前,观察组患者的SAS、SDS评分均明显低于对照组,差异均有统计学意义(P<0.01);观察组患者术后并发症总发生率为17.19%,低于对照组患者的35.71%,差异有统计学意义(P<0.05);术后,两组患者的EORTC QLQ-C30评分均明显高于本组术前,观察组患者的EORTC QOL-C30评分明显高于对照组,差异均有统计学意义(P<0.01).出院时,观察组患者的护理满意度为98.44%,高于对照组患者的85.71%,差异有统计学意义(P<0.05).结论 手术室整体干预模式能明显减轻肝癌介入手术患者的焦虑、抑郁情绪,降低术后并发症发生率,提高患者的生活质量及护理满意度.
Effect of holistic intervention mode of operating room on negative emotions,complications,quality of life and nursing satisfaction in patients with liver cancer undergoing interventional surgery
Objective To investigate the effect of holistic intervention mode of operating room on negative emotions,complications,quality of life and nursing satisfaction in patients with liver cancer undergoing interventional surgery.Method A total of 120 patients with liver cancer receiving interventional surgery were divided into control group(n=56)and observation group(n=64)according to the different intervention modes.The control group received routine interven-tion mode of operating room during the perioperative period,while the observation group received holistic intervention mode of operating room during the perioperative period.The negative emotions[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],complications and nursing satisfaction[Newcastle satisfaction with nurs-ing scale(NSNS)]of the two groups were compared.Result After surgery,the scores of SAS and SDS in two groups were significantly lower than those before surgery,and the scores of SAS and SDS in observation group were significant-ly lower than those in control group,and the differences were statistically significant(P<0.01).The total incidence of complications after surgery in observation group was 17.19%,which was lower than 35.71%in control group,and the dif-ference was statistically significant(P<0.05).After surgery,the EORTC QLQ-C30 scores of the two groups were signifi-cantly higher than those before surgery,and the EORTC QLQ-C30 score of the observation group was significantly high-er than that of the control group,and the differences were statistically significant(P<0.01).At discharge,the nursing satis-faction of the observation group was 98.44%,which was higher than 85.71%of the control group,and the difference was statistically significant(P<0.05).Conclusion Holistic intervention mode of operating room can significantly reduce the anxiety and depression of patients with liver cancer after interventional surgery,reduce the incidence of postoperative complications,and improve the quality of life and nursing satisfaction of patients.

liver cancerinterventional surgeryholistic intervention mode of operating roomnegative emotioncomplicationquality of lifenursing satisfaction

王璐、曹阳博、李丽敏、李爽爽

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郑州大学第一附属医院介入手术室,郑州 450000

肝癌 介入手术 手术室整体干预模式 负性情绪 并发症 生活质量 护理满意度

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(2)